Medicare Market

In 1965 the original Medicare market was created under the
Social Security Act of 1965. At the time all eligible Medicare
members received free access to inpatient hospital, hospice, home
health and skilled nursing care, with physician and outpatient
hospital services offered optionally. The original inpatient
services received freely are referred to as Medicare Part A while
the optional outpatient services are knows as Medicare Part B.

Today, Medicare has evolved to include Part C, which is commonly
known as Medicare Advantage, and Part D, which offers prescription
drug coverage. Both of these programs work to offer more medical
coverage and choices to qualifying Medicare members.

In 2007 Prime Health began offering national networks for all
Medicare programs consisting of inpatient, outpatient and ancillary
care. Prime is committed to offering the best healthcare network
available at costs to patients and providers on par with national
reimbursement methods. Prime listens to the needs of both the
patients and physicians. We perform customized contracting for
patients to ensure the Medicare providers they trust are available
for their medical needs. As payment for Medicare services is
federally funded, providers enjoy guaranteed reimbursement for
services.